The holder whose full name is Berra, Lisa Michelle,come from Zionsville IN,hold the Physician Assistant - Prescriptive Authority license(NO.10001403A) which status is Active.
| Name | Berra, Lisa Michelle |
|---|---|
| License Number | 10001403A |
| License Type | Physician Assistant - Prescriptive Authority |
| License Status | Active |
| City | Zionsville |
| State | IN |